Many babies fail to gain weight as expected during the first few days of life. Newborns are expected to loose up-to 10% of their birthweight by Day 5-7 after birth. If they are exclusively breastfed, the breast milk starts to come from Day 2-3 onwards. They then start to gain weight from Day 5-7 and usually regain their birth weight by Day 10. Most common cause of excessive weight loss is inadequate milk supply in mother, for various reasons. The mother should drink plenty of fluids, eat a healthy diet,… Read more Faltering growth (Failure to thrive) →
Allergies to various substances is getting more and more common for various reasons including ‘Hygiene Hypothesis’ (Google it). Some families are prone to have allergies and these people are known as ‘ATOPIC’. They are more likely to have allergies, asthma, eczema, hay fever, allergic rhinitis etc. These are all related conditions. Most children grow out of allergies to food like milk and egg, while some allergies like nut allergy are more likely to stay. Milk allergy usually gets better between 1-2 years of age, egg allergy is variable and so… Read more Allergies in children →
It’s called Plagiocephaly in medical terminology. Plagiocephaly is a disorder that affects the skull, making the back or side of a baby’s head appear flattened. It is sometimes called deformational plagiocephaly. There are no symptoms associated with plagiocephaly other than the flattened appearance of the back of the head – either evenly across the back or more on one side. It does not cause any pressure on the baby’s brain and development will not be affected by it in later life. Its importance is entirely cosmetic. Nevertheless, if you are worried about… Read more ODD shaped heads in babies →
Excessive crying in the first months of life is usually benign and self limiting, although in a minority of babies it may be linked with more long term and serious problems. No routine investigations are needed for an afebrile child with no signs of illness on a thorough history and examination.
CMPA is quite common and may present as persistent vomiting, diarrhoea / constipation, poor weight gain, dry skin / rash and excessive crying. Treatment is by eliminating CMP from diet but only under specialist supervision. There are two types, IgE mediated and Non IgE mediated. Basically, the latter is usually presents later and is milder but there is no test for it. If baby is breast fed, then treatment is eliminating dairy from mum’s diet (I know, it’s sad, but luckily only for few months). If formula fed, then there are… Read more Cow’s milk protein allergy ! (CMPA) →
Many babies cry a lot specially after the feeds. This could be Gastroesophageal reflux. Gastroesophageal reflux (GOR), the passage of gastric contents into the oesophagus, occurs commonly in newborn infants, especially those born prematurely. Physiologic GER typically is a developmental process that resolves with maturation. GER generally resolves on its own by one year of age. In infants who remain asymptomatic, no further evaluation or intervention is typically required. In contrast, GOR disease (GORD), is clinically significant GER that causes problems. In infants they include frequent vomiting, aspiration pneumonia, irritability,… Read more Reflux (Gastroesophageal Reflux Disease) →